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New Student Financial Aid Information Form
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This application is required for all students applying for or receiving scholarships and/or other financial aid at Augustana College. Students who wish to be considered for state, federal or institutional funds including grants, federal work programs and/or student and parent loans must also complete the 2021-22 Free Application for Federal Student Aid (FAFSA). The FAFSA may be completed electronically by visiting
www.fafsa.gov
after October 1, 2020.
New Student Information 2021-22
First Name
Middle Name
Last Name
Email Address
Birthdate
Birthdate
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Mailing Address
Mailing Address
Country
Street
City
Region
Postal Code
Will you complete the 2021-22 Free Application for Federal Student Aid (FAFSA)?
Will you complete the 2021-22 Free Application for Federal Student Aid (FAFSA)?
Yes
No
Social Security Number is required (please include dashes ex. ###-##-####)
Where will you be living during the academic year?
Where will you be living during the academic year?
Campus housing
With parents
Off-campus apartment
I own my own home
Are you the beneficiary of a 529 pre-paid tuition plan?
Are you the beneficiary of a 529 pre-paid tuition plan?
Yes
No
If yes, check one:
If yes, check one:
College Illinois (pre-paid tuition plan)
Other pre-paid college tuition plan
Enter name of other pre-paid college tuition plan
Students are sometimes eligible for awards on the basis of ethnicity, religion or major. Providing the following information is optional.
Religious denomination
Name of congregation
City and State of congregation
Ethnic background
Are you of Swedish heritage?
Are you of Swedish heritage?
YES
NO
Vocational interest
In addition to grants, for what type(s) of aid/scholarships will you be applying? Check all that apply.
In addition to grants, for what type(s) of aid/scholarships will you be applying? Check all that apply.
Art
Music
Theatre
Work-study
Loans
None
Art, music and theatre scholarships require auditions with departments. Visit www.augustana.edu/scholarships for audition dates, applications and application deadlines. If applying for art, music or theatre scholarships:
Art, music and theatre scholarships require auditions with departments. Visit www.augustana.edu/scholarships for audition dates, applications and application deadlines. If applying for art, music or theatre scholarships:
I have scheduled an audition with the department.
I will contact the department to schedule by the appropriate deadline(s).
Visit our
Scholarship Website
to fill out the appropriate forms for Fine Arts Scholarships ( Music, Theatre and Art).
Will you receive veterans’ education benefits (as a veteran or by transfer of benefits) during the 2021-22 academic year?
Will you receive veterans’ education benefits (as a veteran or by transfer of benefits) during the 2021-22 academic year?
Yes
No
What chapter and branch of service will provide benefits?
Chapter:
Branch of service:
Were you born before January 1, 1998, or otherwise is determined to be independent for financial aid purposes (see FAFSA guidelines)?
Were you born before January 1, 1998, or otherwise is determined to be independent for financial aid purposes (see FAFSA guidelines)?
Yes
No
Parental Information
This section should be completed by the legal parent(s) with whom the student resides. (“Legal parent” is defined as biological or adoptive parent.) If the student lives in a single-parent household, only the information about that parent should be reported.
However, if a divorced or widowed parent has remarried, information about the stepparent is required.
If a student’s legal parents are not married but are living together, information about both parents is required.
Parent 1
Check one:
Check one:
Biological/adoptive parent
Stepparent
Other
Full Name
Work or cell number:
Email address:
Occupation:
Employer:
Self Employed
Unemployed
If unemployed, date of last employment:
Parent 2
Check one:
Check one:
Biological/adoptive parent
Stepparent
Other
Full Name
Work or cell number:
Email address:
Occupation:
Employer:
Self Employed
Unemployed
If unemployed, date of last employment:
Are your biological/adoptive parents divorced or separated?
Are your biological/adoptive parents divorced or separated?
Yes
No
If divorced or separated: To be answered by the parent who completes this form about the non-custodial parent, if the student’s legal parents (biological or adoptive) are divorced, separated or remarried.
Year of separation:
Year of divorce:
Non-custodial parent's full name:
Home address:
How much does the non-custodial parent plan to contribute to the student’s education for the 2021-22 school year?
Financial aid awards and billing documents may be provided and discussed with non-custodial parent listed above?
Financial aid awards and billing documents may be provided and discussed with non-custodial parent listed above?
Yes
No
Augustana College's Office of Financial Aid does not make a student's financial aid awards and billing information available to a non-custodial parent unless
authorized to do so in writing
by the custodial parent and student. This form can be printed and emailed to financialaid@augustana.edu or mailed to:
Augustana College
Office of Financial Aid
639 38th St.
Rock Island, IL 61201
Families occasionally have unusual expenses/circumstances beyond their control. Unusual expenses such as high medical or dental expenses, substantial reduction in parent income since the 2019 tax year, parent in college, childcare or other special circumstances in some instances can be considered when determining financial aid. However, the FAFSA must be filed for such circumstances to be considered. Additional forms also will be required to address these circumstances in more detail. Please attach a separate note should you have any unusual circumstances. (To determine whether you should complete a special circumstance form, call the Office of Financial Aid at 309-794-7207 to speak with your financial aid counselor.)
Unusual/Special Circumstances
Student Electronic Signature
I affirm, by signing electronically my name below, the information on this form is correct to the best of my knowledge and I will notify Augustana College if there is a change.
Student Signature
Date
Date
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Submit